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Home: Oncology Leader Commentary: Gershon Locker, MD

Click on the topic below for comments by Dr Gershon Locker to comment on. You will also find links to related articles and clinical trials.

Trials of first line Arimidex
Choosing first-line endocrine therapy in postmenopausal patients
Vasomotor symptoms and Arimidex
Mechanisms of resistance to endocrine therapy
Tamoxifen rechallenge versus Arimidex
Aromatase inhibitors when adjuvant tamoxifen is contraindicated
ATAC adjuvant trial: Arimidex vs Tamoxifen vs the Combination

ATAC adjuvant trial: Arimidex versus Tamoxifen versus the Combination

Interview with Neil Love, MD from Breast Cancer Update for Medical Oncologists, Program 1 2000

Play Audio Below:

There are multiple sub protocols, and one of the questions is going to be that of bone. I mean, tamoxifen is an excellent anti-osteoporosis agent. It may not have the criteria for getting FDA approval for it, but it sure is pretty good, and so we want to know what the effect is on bone. Then, there is the issue of uterine cancer. I don’t think clinically it’s that big an issue, but I think from the point of view of the patients, and the general medical community and biases, we need to know that. There is a quality of life part of the study. Quality life studies are only as good as the instruments that are used to measure them, and I’m not, you know, I’m just not sure what we will learn, even if there is a difference or no difference. That’s very, very, very interesting, there is a pharmacokinetic study in there too, which you know, one always want to know what the PK is, but I’m not sure that’s going to make a difference as much as the clinical result will be. It is a very important study, and for the reasons you said, not just because of having another agent in terms of efficacy, but in terms of quality of life.

Relevant Articles:

Anastrozole versus tamoxifen as first-line therapy for advanced breast cancer in 668 postmenopausal women: Results of the tamoxifen or arimidex randomized group efficacy and tolerability study. Bonneterre, J.; Thurlimann, B.; Robertson, J. F. R.; Krzakowski, M.; Mauriac, L.; Koralewski, P.; Vergote, I.; Webster, A.; Steinberg, M., and von Euler, M. Journal of Clinical Oncology. 18(22):3748-3757, 2000 Nov 15.

Anastrozole is superior to tamoxifen as first-line therapy for advanced breast cancer in postmenopausal women: Results of a North American multicenter randomized trial.
Nabholtz, J. M.; Buzdar, A.; Pollak, M.; Harwin, W.; Burton, G.; Mangalik, A.; Steinberg, M.; Webster, A., and von Euler, M. Journal of Clinical Oncology. 18(22):3758-3767, 2000 Nov 15.

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